NPI | 1538400049 |
---|---|
Former Name | HEATHER LYNN HUMPHREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 15618) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT15618) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2024-01-27 |