NPI | 1104206846 |
---|---|
Former Name | SAMANTHA SHEMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104386) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5682-26) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2018-03-17 |