NPI | 1366578692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL ML77010603P) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL ML77010603P) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2013-04-08 |