| NPI | 1205124666 |
|---|---|
| Former Name | LEAH WISNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 14413) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114907) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2014-07-31 |