| NPI | 1275172793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR HICKOK Founder And Clinical Director 949-246-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-01-01 |