| NPI | 1396432639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE JOHNSON Speech Language Pathologist 530-718-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-08-23 |