| NPI | 1063467199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE E KIRK Speech Pathologist 530-247-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP11223) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |