| NPI | 1063330082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY GERBRACHT Speech Language Pathologist 310-779-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |