| NPI | 1629386560 |
|---|---|
| Former Name | BREENA ELISE LAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007801) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60178233) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-08-28 |