NPI | 1891027835 |
---|---|
Former Name | BROOKE ONDERLINDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007723) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004825A) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2018-03-17 |