NPI | 1699844993 |
---|---|
Former Name | ANN MARIE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225800000X Recreation Therapist (Licence: NCTRS43873) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: ID CTRS43873) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2022-07-21 |