| NPI | 1619113149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NY 004835-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 012390) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-03-03 |