| NPI | 1548648207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A19751) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-56484) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-03-28 |