NPI | 1104336882 |
---|---|
Former Name | ALYSON NICOLE ELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR 3366) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 392255) |
Enumeration Date | 2017-10-06 |
Last Update Date | 2020-03-20 |