| NPI | 1396038642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NICOLE HAJJAR Speech Pathologist 323-644-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 18892) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |