| NPI | 1871870485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8718) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MN L-157708) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-08-31 |