NPI | 1053178400 |
---|---|
Former Name | LATRINA CONLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374J00000X Doula |
Additional Taxonomies | 172V00000X Community Health Worker |
174N00000X Lactation Consultant, Non-RN (Licence: MI L-312606) | |
Enumeration Date | 2024-03-04 |
Last Update Date | 2025-02-10 |