NPI | 1013219377 |
---|---|
Former Name | ELSA GRACE HORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10149) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2285) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2013-08-13 |