| NPI | 1639769458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 009691-1) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NY 00960-1) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-04-08 |