| NPI | 1689910283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT15517) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-311312) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2023-06-14 |