| NPI | 1386350403 |
|---|---|
| Former Name | SHANNON ROBILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 7501) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 7501) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-08-02 |