| NPI | 1538855960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20528) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: FL L-320614) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-12-19 |