| NPI | 1831119429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027323) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 40QA01548100) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-10-22 |