| NPI | 1316239890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL 2473045) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL 2427640) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |