NPI | 1649636382 |
---|---|
Former Name | TIFFANY URREGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP23029) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2016-01-11 |
Last Update Date | 2021-12-16 |