| NPI | 1962024950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: CA 59977) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 59977) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2025-08-05 |