NPI | 1205216983 |
---|---|
Former Name | SHAYLIN STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 091577) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104823) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2021-10-19 |