| NPI | 1720710619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102671) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-110722) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |