NPI | 1457532699 |
---|---|
Former Name | MONIQUE REISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 308) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2007-11-15 |
Last Update Date | 2010-01-26 |