NPI | 1184065500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-314594) |
Additional Taxonomies | 174400000X Specialist |
235Z00000X Speech-Language Pathologist, (Licence: NY 025628) | |
Enumeration Date | 2013-07-14 |
Last Update Date | 2023-12-19 |