NPI | 1265806152 |
---|---|
Former Name | KAYLA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1398) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104845) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2019-06-19 |