| NPI | 1487947677 |
|---|---|
| Former Name | MARY LYNN BODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT009714) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2018-03-17 |