| NPI | 1013425198 |
|---|---|
| Former Name | BROOKE LAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.005918) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 169106) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |