| NPI | 1205482478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL MW413) |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| 174N00000X Lactation Consultant, Non-RN | |
| 374J00000X Doula | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-08-27 |