NPI | 1902375413 |
---|---|
Former Name | SOPHIE MCDEVITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61222602) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60560652) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-11-14 |
Last Update Date | 2022-10-28 |