| NPI | 1629649702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY JENNINGS Speech Language Pathologist 951-456-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-07-19 |