NPI | 1164134888 |
---|---|
Former Name | WENDY MAYOZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OT23724) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 23724) |
Enumeration Date | 2022-12-14 |
Last Update Date | 2022-12-14 |