| NPI | 1487323150 |
|---|---|
| Former Name | LAINE DEMORROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201011369) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |