| NPI | 1063919470 |
|---|---|
| Former Name | MYRIAH SHEKINAH KINGSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60993392) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC015018) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2019-10-23 |