| NPI | 1073299491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN ARIEL Speech Language Pathologist 818-439-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |