| NPI | 1174105019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BULKA Speech Pathology Director 650-678-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |