| NPI | 1013371137 |
|---|---|
| Former Name | KAYLA FISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31006039A) |
| Additional Taxonomies | 247200000X (Licence: IN 99069334A) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |