| NPI | 1154934172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-322721) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2026-07-21 |