NPI | 1073086088 |
---|---|
Former Name | ERIN ELIZABETH LYONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11117) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2351) |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-01-03 |