| NPI | 1699379040 |
|---|---|
| Former Name | KELLIE CHIEMI MIYASHIMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT-3034) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 21759) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2024-04-23 |