| NPI | 1356984819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-315305) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113916) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-07-01 |