| NPI | 1497079263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY AMBER BRIGHT Director 949-500-2847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP13502) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |