| NPI | 1285941286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C Speech Language Pathologist 818-509-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 12546) |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2010-09-12 |