| NPI | 1053445601 |
|---|---|
| Former Name | JOLYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 247536) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 427) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-04-22 |