NPI | 1790519114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 5627) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-152875) |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-08-28 |