| NPI | 1518552678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA NOELLE NOVALES KUNG-GUNION Director/Speech Language Pathologist 951-290-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-04-19 |