| NPI | 1407594070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04906) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-314027) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-02-29 |