NPI | 1427574334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09929226) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO L-319061) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2025-07-01 |