NPI | 1770950198 |
---|---|
Former Name | IRENE SONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 15729) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15729) |
Enumeration Date | 2015-09-02 |
Last Update Date | 2021-02-17 |