| NPI | 1790814093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-89134) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000445) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-10 |