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 |