| NPI | 1811359458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5767-27) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO OTA0000500) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-05-25 |