| NPI | 1154417228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 017037-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010664-1) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |