| NPI | 1518600642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA AMEZCUA Speech Language Pathologist 805-889-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2022-04-16 |