| NPI | 1770975682 |
|---|---|
| Former Name | LISA JO HAAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004228) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2021-06-04 |