| NPI | 1366171159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN 257754) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174N00000X Lactation Consultant, Non-RN (Licence: TN 257754) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |