| NPI | 1013298983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011028758) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MO 10421039) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-11-01 |