| NPI | 1417261439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 022662-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 012810-1) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |