| NPI | 1063756146 |
|---|---|
| Former Name | LISA CLOUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000024) |
| 224Z00000X Occupational Therapy Assistant (Licence: CA 2214) | |
| 376G00000X Nursing Home Administrator (Licence: CO NHA.0002857) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-11-27 |