NPI | 1982290482 |
---|---|
Former Name | HANNAH RAE BRENK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1798) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 106334) |
Enumeration Date | 2020-12-18 |
Last Update Date | 2021-08-26 |