| NPI | 1992240832 |
|---|---|
| Former Name | TA'NIQUA JESSICA NEWKIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 377218) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 18169) |
| 225X00000X Occupational Therapist (Licence: SC 5819) | |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2022-08-21 |