NPI | 1831730712 |
---|---|
Former Name | CASSANDRA LEE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2019037068) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 1704143) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2024-11-15 |