| NPI | 1487047080 |
|---|---|
| Former Name | STEPHANIE JENAE ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT3608) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS TA2010) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2021-09-20 |