| NPI | 1164210241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOVA KRISTA CONSUNTO Chief Executive Officer, Slp 650-204-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |