| NPI | 1114671914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112148) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-305249) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |