NPI | 1770252751 |
---|---|
Former Name | LAUREN GRASENICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8113) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-014368) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-05-18 |