| NPI | 1720348436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl010857) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2025-09-10 |