| NPI | 1437776309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2104011) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-304060) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2021-08-24 |