| NPI | 1417214339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034863) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2015-04-23 |