NPI | 1316459522 |
---|---|
Former Name | SHAUNA VARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104869) |
Enumeration Date | 2017-10-27 |
Last Update Date | 2020-07-13 |