| NPI | 1396913786 |
|---|---|
| Former Name | STACIA JEAN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60013314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61607980) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2025-06-09 |