| NPI | 1568970978 |
|---|---|
| Former Name | HEATHER KATHRYN MICHALAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5156) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 5156) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-05-31 |