NPI | 1922369370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 317750) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 023485) |
225700000X Massage Therapist (Licence: 577726-09) | |
374J00000X Doula (Licence: 6-202019) | |
Enumeration Date | 2012-06-01 |
Last Update Date | 2020-11-17 |