| NPI | 1750037941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-22-198474) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-307747) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-08-06 |