| NPI | 1053969055 |
|---|---|
| Former Name | LYDIA BRETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31968) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1790) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-09-23 |