NPI | 1184329609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: AL 258680) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL 258680) |
174400000X Specialist (Licence: TN 258680) | |
174H00000X Health Educator | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |