| NPI | 1376859652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP6882) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2021-02-10 |