| NPI | 1275181950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1121335) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA L-153818) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-01-31 |