| 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 |