| NPI | 1891477824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-315290) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-11-30 |