| 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 |