| NPI | 1326785304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MARBLE Owner 530-559-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-06-14 |