| NPI | 1205313459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN GAMBINO CEO 951-750-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23910) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-07-30 |