| NPI | 1689102253 |
|---|---|
| Professional Name | SUZANNA LADONNA HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1319) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 6741) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2021-01-12 |