| NPI | 1821633579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018479) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-41638) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2023-03-10 |