| NPI | 1962046441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: MI 57605) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-08-23 |