NPI | 1306174354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6440) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-302053) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2023-07-25 |