| NPI | 1972713022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.002411) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL CM08170993P) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |