| NPI | 1487033262 |
|---|---|
| Former Name | JENALEE KAY CHRISTOPHERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5683-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104880) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2018-12-13 |