| NPI | 1770832735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-3183) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MT 206543) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2024-05-07 |