NPI | 1194194019 |
---|---|
Entity Type | Organization |
Authorized Contact | KIESHA MARTINEZ-SCOTT Speech Language Pathologist 323-767-4849 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 18683) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2016-01-15 |