NPI | 1477658177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-004815) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2006-09-14 |
Last Update Date | 2019-12-03 |