| NPI | 1760508477 |
|---|---|
| Former Name | JENNIFER GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 005123) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI ota00338) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-07-13 |