NPI | 1457783870 |
---|---|
Former Name | AFTON NIVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009843) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-312393) |
Enumeration Date | 2013-08-08 |
Last Update Date | 2023-12-19 |