| NPI | 1770623407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL am47190798p) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180004644) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-09-21 |