| NPI | 1194077966 |
|---|---|
| Former Name | NELLIE ALEXANDRA FAUVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 9583984-4201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056009896) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2020-04-13 |