| NPI | 1356758254 |
|---|---|
| Former Name | LISA MOROONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CA 3003) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2014-07-13 |