NPI | 1023306131 |
---|---|
Former Name | LAUREN BENDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0003351) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2011-07-11 |
Last Update Date | 2018-12-18 |