NPI | 1104482900 |
---|---|
Former Name | GABRIELLE GLODICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT23749) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201010516) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2023-11-07 |