| NPI | 1245803758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATJA PISCITELLI Speech Language Pathologist 916-510-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |