NPI | 1760605406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0165191) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 007651-1) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2017-02-06 |