| NPI | 1356685382 |
|---|---|
| Former Name | KRISTINA STAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118743) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2729) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-10-15 |