NPI | 1790026599 |
---|---|
Former Name | MIRANDA RENEE HELLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 16349) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 17-0992) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2018-03-21 |