| NPI | 1134338031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 12173801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00810400) |
| 225100000X Physical Therapist (Licence: NY 0195901) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-11-30 |