| NPI | 1194187021 |
|---|---|
| Former Name | MOLLY KAITLIN HAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MN 105095) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-09-28 |