| NPI | 1962688143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 23134) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 11240304) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2013-07-25 |