| NPI | 1093115974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3158) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CT ALPP-203587) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2017-03-31 |