NPI | 1689732539 |
---|---|
Former Name | SUSAN MARGARET LATSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4376) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2495) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2023-02-07 |