NPI | 1316271372 |
---|---|
Former Name | ERICA BRUSCKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-308324) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 06119) |
225X00000X Occupational Therapist (Licence: DC OT010000866) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: SC 5240) | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2023-01-05 |