NPI | 1124109244 |
---|---|
Former Name | ANDREA L WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NJ 46TR00038400) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-08 |