| 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 |