NPI | 1417191446 |
---|---|
Former Name | KATHRYN GRACE DESIMONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 1499) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9600) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2013-08-28 |