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 |