| NPI | 1669591244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MA 203321) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00132800) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-04-05 |