| NPI | 1134495773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WOLLAM Speech Language Pathologist 707-954-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 11534) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |