| NPI | 1578770418 |
|---|---|
| Former Name | SHEMAINE LYNISE BULLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 5157) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.008750) |
| 225X00000X Occupational Therapist (Licence: MI 5201005840) | |
| 225X00000X Occupational Therapist (Licence: IN 31000917A) | |
| 225X00000X Occupational Therapist (Licence: FL 17586) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-03-17 |