NPI | 1013521079 |
---|---|
Former Name | JONELLE S. CLARICIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2020-09-06 |
Last Update Date | 2020-09-06 |