| NPI | 1568782985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E WHITAKER Owner 530-244-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3559) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2012-03-30 |