NPI | 1568418739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007623) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL SS12630298P) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2019-11-04 |