| NPI | 1265711998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CAROL SANDOVAL Slp 661-274-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP11463) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2017-11-06 |