| NPI | 1003584970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STROM President 626-375-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |