NPI | 1790243590 |
---|---|
Former Name | SAMANTHA ROSE STELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 16356) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2019-03-11 |
Last Update Date | 2024-08-19 |