| NPI | 1265256804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE DUFFY Owner 815-529-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-02-07 |