| NPI | 1366787913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA 11176950) |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2024-07-10 |