| NPI | 1871679233 |
|---|---|
| Former Name | JENNIFER MICHELLE NICHOLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT14766) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 2967) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2019-05-01 |