NPI | 1053824540 |
---|---|
Former Name | SARA DOLENSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 25325) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NV 17-0960) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2023-09-07 |