| NPI | 1265919419 |
|---|---|
| Former Name | LESLIE MILAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 216131) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1382) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-05-06 |