| NPI | 1013535525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-315174) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16340) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2025-06-28 |