| NPI | 1528990751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NIEL MCCORRISTON Speech Language Pathologist 323-646-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |