| NPI | 1912448044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1248) |
| 225X00000X Occupational Therapist (Licence: LA 328491) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2021-09-15 |