NPI | 1316987134 |
---|---|
Former Name | JENNIFER K. GUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 195 01099) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 765) |
225X00000X Occupational Therapist (Licence: SD 0546) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-10-17 |