| NPI | 1295414779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE THUDIUM Speech Language Pathologist/Owner 310-968-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |