| NPI | 1316270572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5908) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 10000) |
| 174N00000X Lactation Consultant, Non-RN (Licence: LA 339900) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2024-02-21 |