NPI | 1336768431 |
---|---|
Former Name | CHRISTINE EVANGELISTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00924400) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 024592) |
Enumeration Date | 2020-04-09 |
Last Update Date | 2024-12-24 |