| NPI | 1275397754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLACK Owner 803-630-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |