| NPI | 1063880615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 366023) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-316769) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-12-16 |