| NPI | 1083130728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001802) |
| 174N00000X Lactation Consultant, Non-RN (Licence: L-159665) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-02-17 |