| NPI | 1164946893 |
|---|---|
| Former Name | MARISSA LYNN CECALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-302681) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2025-01-09 |