| NPI | 1538541081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2928) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OH OT. 00900) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2016-10-19 |