NPI | 1487816427 |
---|---|
Former Name | IVY MAE BUNACHITA RETARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122218) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 7849) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2023-04-20 |