NPI | 1205293495 |
---|---|
Former Name | LAUREN JUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 16860) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115189) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2024-06-27 |