NPI | 1164747002 |
---|---|
Former Name | YEKATERINA KULICHENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015909-1) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015909) |
Enumeration Date | 2010-04-04 |
Last Update Date | 2015-01-05 |