| 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 |