| NPI | 1265627962 |
|---|---|
| Former Name | JESSI MORAVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112399) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112399) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2015-01-26 |