| NPI | 1831947167 |
|---|---|
| Former Name | ANGELLE N HENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056016004) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2024016293) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2026-01-05 |