| NPI | 1235481466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12315) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-310457) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-09-05 |