| NPI | 1194181206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A GEMMELL Owner 909-213-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000229) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-10-09 |