| NPI | 1639782170 |
|---|---|
| Former Name | JULIANA TARINNE MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 121078) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 121078) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2021-06-25 |