| NPI | 1023615077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY FRASER Speech Language Pathologist 951-534-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |