| NPI | 1821458381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851114761) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MI 230799) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-02-26 |