NPI | 1437614666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 1780144327) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2019-02-01 |
Last Update Date | 2020-09-19 |