| NPI | 1497514905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-17966) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-314945) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-06-28 |