NPI | 1174972830 |
---|---|
Former Name | ERICA A BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4694) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2016-06-03 |
Last Update Date | 2019-07-16 |