| NPI | 1417422833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027527) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-02-02 |