| NPI | 1467997577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP8131) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-301768) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-06-29 |