| NPI | 1194840165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005436) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC 11296532) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-08-14 |