| NPI | 1073071791 |
|---|---|
| Former Name | KARLIE KINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WY OTA-1178) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MT OTA-4076) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-08-20 |