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 |