| NPI | 1285106310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114180) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MI 326074) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2024-09-18 |