| NPI | 1184151920 |
|---|---|
| Former Name | MEGAN ELIZABETH MAYFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC 60708932) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |