NPI | 1922406917 |
---|---|
Former Name | MELISSA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 201987) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MN 201987) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2015-02-10 |