| NPI | 1598428344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY OLIVIA JONES Speech Language Pathologist 760-547-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |