| NPI | 1811653959 |
|---|---|
| Former Name | NICOLE KAY SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 6004) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 2121) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2025-02-03 |