| NPI | 1073468146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA OMWANGHE Speech Language Pathologist 909-951-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-08-15 |