| NPI | 1548413909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. FOSNOT Speech Language Pathologist 818-884-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2018-12-21 |