| NPI | 1619309903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA Z10226) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z10226) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |