NPI | 1750872172 |
---|---|
Former Name | JILLIAN ROSE NEWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 11724) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5829) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2020-10-07 |