NPI | 1285075622 |
---|---|
Former Name | STEPHANIE SUZANNE HAEUSSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201008582) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5352-26) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2018-08-30 |