NPI | 1629614615 |
---|---|
Other Name | JENNY GONSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61533040) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-11-25 |
Last Update Date | 2024-03-05 |