NPI | 1417132796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL kt17400398f) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1542072) |
163W00000X Registered Nurse (Licence: IL 041140848) | |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-01-04 |