NPI | 1720612815 |
---|---|
Former Name | MOLLY JANE MONAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 1215) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME 1146) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2020-03-13 |