| NPI | 1801254040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 057004432) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IL 057004432) |
| 224Z00000X Occupational Therapy Assistant (Licence: IL 057004432) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2023-08-16 |