NPI | 1619264132 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN D KAYEM Owner, Executive Director 310-384-5159 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 10919) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 18502) |
225X00000X Occupational Therapist (Licence: CA 11010) | |
Enumeration Date | 2011-07-05 |
Last Update Date | 2024-11-11 |