| NPI | 1366413965 |
|---|---|
| Former Name | STEPHANIE S BALDWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009101) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3909-026) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-01-23 |