| NPI | 1811588023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 26564) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: UT 80642) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |