| NPI | 1407038110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A LOPEZ Director 415-775-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP12079) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA SP12079) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2009-04-01 |