| NPI | 1710474564 |
|---|---|
| Former Name | ELLEN JUDITH MCCRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105579) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 6151-26) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2021-03-17 |