| NPI | 1598212391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEE FULTON Owner 213-400-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21592) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 21592) |
| 252Y00000X Early Intervention Provider Agency (Licence: CA 21592) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-11-15 |