| NPI | 1184014243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: KY L-313176) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 140375) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-02-12 |