| NPI | 1033465661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY JOHLMAN Owner/Speech Language Pathologist 909-747-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP8835) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |