| NPI | 1811603798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374J00000X Doula |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH SCAN-B84SPF) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-11-07 |