NPI | 1104030139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL kb52980401p) |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2007-05-09 |
Last Update Date | 2025-09-11 |