| NPI | 1235369331 |
|---|---|
| Former Name | MARISA LYN JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.007910) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13388) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2015-06-26 |