| NPI | 1033396544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 6791554-4201) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: UT 6791554-4201) |
| 314000000X Skilled Nursing Facility (Licence: UT 6791554-4201) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |