| NPI | 1538904610 |
|---|---|
| Former Name | ERIN GRACE TIPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 7557) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-07-05 |