NPI | 1316507445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-302590) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
225700000X Massage Therapist (Licence: GA MT006471) | |
Enumeration Date | 2019-06-20 |
Last Update Date | 2024-09-30 |