NPI | 1396075511 |
---|---|
Former Name | JACQUELYN MARIE OLSEN-BONDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA 0C00000831) |
Enumeration Date | 2010-01-11 |
Last Update Date | 2010-01-11 |