NPI | 1114208295 |
---|---|
Former Name | MELISSA J CROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104096) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-09-02 |
Last Update Date | 2012-04-26 |