| NPI | 1831126234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 001987-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 012747-1) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2009-02-06 |