NPI | 1457992539 |
---|---|
Former Name | TAYLOR LEIGH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 20197) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 4892) |
225X00000X Occupational Therapist (Licence: KS 17-03531) | |
Enumeration Date | 2019-10-01 |
Last Update Date | 2019-10-01 |