| NPI | 1295216539 |
|---|---|
| Other Name | KC HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 2070) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 083928) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |