| NPI | 1255963617 |
|---|---|
| Former Name | KINDLE BROOK MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12367) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 007543) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2024-03-17 |