NPI | 1649714783 |
---|---|
Former Name | NATHALIE JAE COLMENARES LARRACAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 009334) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2017-06-24 |