| NPI | 1962029389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MS 53246) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |