NPI | 1407279599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MI ALPP ID # 201673) |
Additional Taxonomies | 374J00000X Doula (Licence: MI DONA Trained Doula) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2014-01-27 |