| NPI | 1649654799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110112) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-311727) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-07-30 |