| NPI | 1891283024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 9769) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CT RBT-23-263247) |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-08-05 |