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 |