NPI | 1346328861 |
---|---|
Former Name | TAMMIE LODON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225800000X Recreation Therapist (Licence: CA 53010) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: CA 4070-T) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |