| NPI | 1023371135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 174N00000X Lactation Consultant, Non-RN (Licence: 326596) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-05-05 |