| NPI | 1609794411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DENISE BOFFIL Owner/ Speech Language Pathologist 689-986-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |