NPI | 1386051837 |
---|---|
Former Name | LETICIA TRISTAN DE SNEED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 123515) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 211787) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2024-08-21 |