| NPI | 1679884407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 6527) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 16132) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2010-06-26 |