| NPI | 1215315262 |
|---|---|
| Former Name | ZAKIYYAH MICKENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025815) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 0829796) |
| 225X00000X Occupational Therapist (Licence: FL OT21641) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-07-18 |