| NPI | 1780184259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 17828) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 257208) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2021-06-04 |