NPI | 1609317270 |
---|---|
Former Name | ERIN MALENFANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12067) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004650) |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-16 |