| NPI | 1386187151 |
|---|---|
| Former Name | HEIDI KATHLEEN VLADYKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 9471) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60637528) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2022-12-14 |