| NPI | 1811097397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: FL 41014) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11595) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-09 |