| NPI | 1811333636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013003) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-05-02 |