| NPI | 1881987592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11627) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: FL 282196) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-08-21 |