NPI | 1366815060 |
---|---|
Former Name | AUBREE HENTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MN 106594) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: OK 1722) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2022-08-09 |