NPI | 1891245585 |
---|---|
Former Name | BRENDA BIESACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 1857-26) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2024-06-06 |