| NPI | 1073030698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 528627) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WI 5286-27) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-05-28 |