| NPI | 1720336050 |
|---|---|
| Former Name | STEPHANIE SUZANNE HENNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT 8028) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2016-05-18 |