| NPI | 1760024624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004469) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO 354296) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-12-12 |