| NPI | 1073940524 |
|---|---|
| Former Name | ERICA MICHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010394) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 4141) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2024-01-22 |