| 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 |