| NPI | 1700946837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 005771-1) |
| Additional Taxonomies | 102X00000X Poetry Therapist (Licence: TX 2065670) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-06-02 |