| 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 |