| NPI | 1861963209 | 
|---|---|
| Former Name | JESSICA MCKAY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1744)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008878)  | 
| 225X00000X Occupational Therapist (Licence: MN 106114)  | |
| Enumeration Date | 2018-12-11 | 
| Last Update Date | 2020-02-04 |