| NPI | 1083404750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELIE THERESE LUISTRO JADMAN Owner/President 510-731-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |