| NPI | 1558895524 |
|---|---|
| Former Name | BROOKE ANN HAYMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001767) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2018-07-10 |