| NPI | 1457886855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1009) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-314690) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 078716) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP34964) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 205030) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2024-01-10 |