| NPI | 1679294342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-307162) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2023-01-30 |