NPI | 1396476099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104282) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2022-06-22 |
Last Update Date | 2022-06-22 |