| NPI | 1962840249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 038514) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA 10421398) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |