| NPI | 1215407465 |
|---|---|
| Former Name | KATRINA ANNALESE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.012780) |
| Additional Taxonomies | 225XL0004X Occupational Therapist, Low Vision |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |