| NPI | 1578820098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 058531-1) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY 11127028) |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2012-05-23 |