| NPI | 1336654599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CORIN Speech Language Pathologist 424-835-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18733) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |