NPI | 1083454854 |
---|---|
Former Name | CAROLINE MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 123742) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT26015) |
225X00000X Occupational Therapist (Licence: AZ OTH-009625) | |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |