| NPI | 1285416685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADYN ELIZABETH LEWIS CEO, Slp 925-303-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |