| NPI | 1841760543 |
|---|---|
| Former Name | JAIRRAH LA NEACE MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2018004819) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-03386) |
| 225X00000X Occupational Therapist (Licence: CA OT17857) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-01-18 |