| NPI | 1649582818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 011598-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 024306) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2010-10-02 |