NPI | 1104043850 |
---|---|
Former Name | KRISTEN ELIZABETH HASSELTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1812) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119003967) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2015-01-17 |