| NPI | 1447886551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-136295) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT115676) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |