NPI | 1902341332 |
---|---|
Former Name | HALEY CROUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010098) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2016-12-20 |
Last Update Date | 2020-07-24 |