NPI | 1427646744 |
---|---|
Former Name | KATELYN AUGUSTA HERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13741) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 6035) |
Enumeration Date | 2021-01-03 |
Last Update Date | 2024-03-12 |