NPI | 1083038350 |
---|---|
Former Name | SANDRA LEE GOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16006) |
Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
225XP0019X Occupational Therapist, Physical Rehabilitation | |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-02-07 |