NPI | 1861963209 |
---|---|
Former Name | JESSICA MCKAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1744) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008878) |
225X00000X Occupational Therapist (Licence: MN 106114) | |
Enumeration Date | 2018-12-11 |
Last Update Date | 2020-02-04 |