| NPI | 1841503208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC 198-14501) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002025) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2022-10-16 |