NPI | 1306332184 |
---|---|
Former Name | LEAH SHANNON OLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00937200) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022640) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2023-06-08 |