| NPI | 1023642972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202001946) |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-05 |