| NPI | 1922644707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-315120) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2024-11-06 |