| NPI | 1982480224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE GINGRAS Speech Pathologist/Owner 925-446-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |