| NPI | 1801315734 |
|---|---|
| Former Name | JAMIE CARISSA M DE LA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30771) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 4799) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 14044) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-10-27 |