| NPI | 1215618657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ELISA MONTIEL Speech Language Pathologist 415-283-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |