| NPI | 1790328052 |
|---|---|
| Former Name | STEPHANIE LORRAINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT009361) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ OTH-007954) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2024-11-11 |