NPI | 1891988127 |
---|---|
Former Name | KRISTEN DIANE BARRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00003045) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 12879) |
225X00000X Occupational Therapist (Licence: AK 1228) | |
Enumeration Date | 2007-08-21 |
Last Update Date | 2020-02-03 |