| NPI | 1588916670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0351511) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 0315151) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2022-11-02 |