| NPI | 1053871368 |
|---|---|
| Former Name | KELLY LEE PIEPENBRINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31007250A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-17-44326) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-11-14 |