NPI | 1437793601 |
---|---|
Former Name | KIERSTIN LEAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009369) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2019-10-31 |
Last Update Date | 2021-10-21 |