NPI | 1154848083 |
---|---|
Former Name | SONJA LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 317990) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 5392) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2020-08-20 |