NPI | 1386030203 |
---|---|
Former Name | MELISSA BRUTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 16406) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11547) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2022-12-02 |