| NPI | 1376348979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ANNE PEDERSEN Chief Executive Officer 619-450-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-03-13 |