| NPI | 1588182745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 137884) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AK 368510) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2025-12-04 |