NPI | 1518456532 |
---|---|
Former Name | LORETTA ELLEN PEFFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 4764) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 4764) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2018-05-04 |