| NPI | 1336431444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY P138815) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-19555) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2025-10-06 |