| NPI | 1619789542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE CHAVEZ Speech Language Pathologist 909-363-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-09-03 |