| NPI | 1437589355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 251E00000X Home Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |