NPI | 1912333964 |
---|---|
Former Name | KAYLA RENEE STANFILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 428232) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-09-23 |
Last Update Date | 2019-10-31 |