NPI | 1588287056 |
---|---|
Former Name | SHARLENE LAVARIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60855891) |
Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: WA 60855891) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-09-16 |