| NPI | 1336401835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14432) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146011220) | |
| 174N00000X Lactation Consultant, Non-RN (Licence: FL L315635) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2024-07-16 |