| NPI | 1316507445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-302590) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT006471) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-02-05 |