| NPI | 1912143512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OH L-310957) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9217) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2023-11-28 |