| NPI | 1093037723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRADSHAW Owner 951-779-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP9828) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |