| NPI | 1841464823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 009146) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 002396-1) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2009-01-11 |