| NPI | 1356719090 |
|---|---|
| Former Name | LISA HENNIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0005260) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.010942) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-04-22 |