| NPI | 1861551582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 1051368) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NV 12-0197) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-08-06 |