| NPI | 1265836118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEYA SHAKED Owner 818-933-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 21917) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21662) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |