| NPI | 1881175321 |
|---|---|
| Former Name | LEENA ANN LUKOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111822) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-12-13 |