| NPI | 1235732991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT-2024-0058) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NM OT-2024-0058) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-04-25 |