| NPI | 1467826172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2022-04-07 |