| NPI | 1710594239 |
|---|---|
| Former Name | KAYLA REBECCA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0007323) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2020007319) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-09-19 |