NPI | 1043979701 |
---|---|
Former Name | HANNAH ELLESTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010799) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT61341999) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2025-04-14 |