NPI | 1013493378 |
---|---|
Former Name | KATHERINE ANN WONDRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT-2316) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 135672) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2019-10-21 |