| NPI | 1508394651 |
|---|---|
| Former Name | STEPHANIE RENEE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 123738) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT009670) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-12-02 |