| NPI | 1073149985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00690800) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-312685) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-01-02 |