NPI | 1164879326 |
---|---|
Former Name | ANYA ABRAHAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL AH05100316P) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2016-05-18 |
Last Update Date | 2021-09-28 |