| NPI | 1518094986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 001068-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 003068-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-11-06 |