| NPI | 1063011856 |
|---|---|
| Former Name | REBECA DESAUGUSTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2014013537) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03052) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2021-05-25 |