| NPI | 1831642719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801114754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106925) |
| 174N00000X Lactation Consultant, Non-RN (Licence: MI L-99168) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-08-24 |