| NPI | 1518202399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN BACKER Speech/Language Pathologist 805-822-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 11998) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |