| NPI | 1023764230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN COUTURE EVANS Slp & Lactation Educator 818-293-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |