| NPI | 1437389988 |
|---|---|
| Former Name | CLELLA LANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-812) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 0624) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-09-29 |