| NPI | 1659078210 |
|---|---|
| Former Name | STEPHANIE LOUISE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2019047625) |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing |
| 224ZL0004X Occupational Therapy Assistant, Low Vision | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |