NPI | 1649697475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA 10218838) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC23253) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2014-03-18 |