| NPI | 1013129733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.004881) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-04-17 |