| NPI | 1396086500 |
|---|---|
| Former Name | SISI JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI OT-1622) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 8635) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2019-10-09 |