| NPI | 1295031318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ANN NICHOLS Owner 951-541-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA sp12646) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-08 |