| NPI | 1891432902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: UT 14204491-4003) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2025-02-14 |