| NPI | 1083089106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 174N00000X Lactation Consultant, Non-RN (Licence: OR L-85664) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2026-05-08 |