| NPI | 1639181571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN L. BOSTON Speech Language Pathologist 408-377-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 11819) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |