| NPI | 1699911933 |
|---|---|
| Former Name | STEPHANIE CLEMENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08109) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010001003) |
| 225X00000X Occupational Therapist (Licence: VA 0119005857) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2021-03-31 |