| 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 |