NPI | 1700203718 |
---|---|
Former Name | SHEILA GRACE CASTANEDA CLARAVALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13599) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2018-09-27 |