NPI | 1164060703 |
---|---|
Former Name | KRISTYNA ANN REYNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 432991) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2019-12-13 |
Last Update Date | 2022-07-20 |