| NPI | 1457810582 |
|---|---|
| Former Name | KYLEE BROOKE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119867) |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |