| NPI | 1275811242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-04-06 |