| NPI | 1053951699 |
|---|---|
| Former Name | KAYLA WOODRUFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13307) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201010626) |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2021-01-12 |