| NPI | 1285316638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA C ROBLES Speech Language Pathologist 909-285-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-04-17 |