| NPI | 1366812455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002874) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: PA 280708) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-10-23 |