| NPI | 1770340721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 172A00000X Driver | |
| 174400000X Specialist | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |