| NPI | 1710454038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103326) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-143923) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |