| NPI | 1558748095 | 
|---|---|
| Former Name | KATIE BECKER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104900) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 104900) | 
| Enumeration Date | 2015-05-05 | 
| Last Update Date | 2024-09-26 |