| NPI | 1073130621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY JEAN ROHRBORN Sole Member 805-843-5941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-03-07 |