NPI | 1699197194 |
---|---|
Former Name | STACEY LEONG MINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60441895) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2014-01-17 |
Last Update Date | 2025-01-08 |