| NPI | 1457599219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 11596) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-314949) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2024-08-01 |