| NPI | 1619996527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 2463-26) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WI 11134318) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-04-04 |