| NPI | 1649483025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 0119004769) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004437A) |
| 225X00000X Occupational Therapist (Licence: MI 5201004890) | |
| 225X00000X Occupational Therapist (Licence: MD 05793) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-07-29 |