| NPI | 1255762969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 10544) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000975) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2015-11-13 |