| NPI | 1548784879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DAVIS WARE Director/Slp 949-495-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP50) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |