| NPI | 1669673513 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 1056441) | 
| Enumeration Date | 2007-05-29 | 
| Last Update Date | 2016-04-19 |