NPI | 1700215969 |
---|---|
Former Name | HEATHER SHOLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5205) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4878) |
225X00000X Occupational Therapist (Licence: GA 5832) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2020-02-20 |