| NPI | 1841568755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-309905) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017093-1) |
| 225X00000X Occupational Therapist (Licence: GA OT006749) | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2024-04-18 |