| NPI | 1689012346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016044882) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-307454) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2024-07-02 |