| NPI | 1154875912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SMITH Speech Pathologist 916-541-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA GNB32016-02245) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |