| NPI | 1942544424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.200551) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 334810) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2021-12-10 |