NPI | 1144885708 |
---|---|
Former Name | ABIGAIL MARIE CLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31007672A) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-05-08 |
Last Update Date | 2022-10-18 |