| NPI | 1164262184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OLMANSON Authorized Official 415-236-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2026-08-19 |