| NPI | 1134479330 |
|---|---|
| Former Name | MARIE BERNADETTE TASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3955) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT000261) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |