NPI | 1598280679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178017222) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2017-08-09 |
Last Update Date | 2023-01-08 |