| NPI | 1073874764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GASKELL Owner 209-544-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 12114980) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-12-12 |