NPI | 1073096939 |
---|---|
Former Name | KATHLEEN M. MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6315-26) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-012093) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2018-09-07 |