NPI | 1447517370 |
---|---|
Former Name | LAUREN ELIZABETH COUGHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 12549) |
Enumeration Date | 2012-04-17 |
Last Update Date | 2021-04-05 |