NPI | 1356063010 |
---|---|
Former Name | CARA ANN HENNESSY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 14631) |
Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: MA 14631) |
225XP0200X Occupational Therapist, Pediatrics (Licence: MA 14631) | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2022-09-19 |