| 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 |