| NPI | 1508042839 |
|---|---|
| Former Name | SUSANNE MALIA STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 110964) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: HI 1629) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2017-10-04 |