NPI | 1124377635 |
---|---|
Former Name | SARA KAITLYN PROBASCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.009836) |
Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: IL 056.009836) |
174N00000X Lactation Consultant, Non-RN | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2025-10-01 |