| NPI | 1598369217 |
|---|---|
| Former Name | SHANNON LEE AVERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 23995) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT3942) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-08-10 |