| NPI | 1376268847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY BROOK JOHNSON Speech Language Pathologist 562-373-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-01-16 |