| NPI | 1548654627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019497) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27 023871) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2016-03-21 |