| NPI | 1003520362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MILLER Speech Language Pathologist 925-200-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |