| NPI | 1326596529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL 2536693) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL 2536696) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |