NPI | 1487196176 |
---|---|
Entity Type | Organization |
Authorized Contact | MASTANEH NASSI Owner 310-666-7413 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 19111) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2016-11-10 |