| NPI | 1407862402 |
|---|---|
| Former Name | AUTUMN R WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 05586) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004134) |
| 225X00000X Occupational Therapist (Licence: PA OC009784) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-09-24 |