NPI | 1023553849 |
---|---|
Former Name | SHANNON LITTLEFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1850) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105244) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2024-05-25 |