NPI | 1982887121 |
---|---|
Former Name | SOMMER LEA HALVORSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1014) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-12-11 |
Last Update Date | 2016-10-16 |