| NPI | 1427489103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC VIANELLE Director 916-267-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015101) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |