NPI | 1750814638 |
---|---|
Former Name | MARA MONTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009802) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18543) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2021-03-30 |