NPI | 1477008340 |
---|---|
Former Name | COURTNEY LYNNE SCHAFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 9834370-4201) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-19-80902) |
225XM0800X Occupational Therapist, Mental Health (Licence: UT 9834370-4201) | |
225XM0800X Occupational Therapist, Mental Health | |
225XP0200X Occupational Therapist, Pediatrics (Licence: UT 9834370-4201) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: ID OT-1654) | |
Enumeration Date | 2016-08-22 |
Last Update Date | 2021-06-10 |