| NPI | 1114349750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-140974) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13782) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2023-01-12 |