NPI | 1578198958 |
---|---|
Former Name | CAROLYN MONIQUE BLOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009572) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2020-03-06 |
Last Update Date | 2021-09-03 |