| NPI | 1417534470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 11604) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |