| NPI | 1346549250 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 224Z00000X) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 225700000X) | 
| Enumeration Date | 2011-03-17 | 
| Last Update Date | 2011-03-17 |