NPI | 1346458486 |
---|---|
Former Name | KIRSTEN LEBO-TALUSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 003539) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 9184) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2012-07-31 |