| NPI | 1699006577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150009167) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2010-02-14 |