NPI | 1366611766 |
---|---|
Former Name | DEBRA MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT 60013982) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2008-02-29 |
Last Update Date | 2023-02-28 |