| NPI | 1700420460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 6968) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TN L-313064) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-08-07 |