| NPI | 1104953991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: IL ML22820803P) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL ML22820803P) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |