NPI | 1487844700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006248) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1521719) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2007-08-01 |