| NPI | 1568041721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICA FRANCES FEDERE Chief Executive Officer/President 209-603-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |