| NPI | 1659945681 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VERONICA AHUMADA Speech Language Pathologist 408-705-3373  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2021-05-14 | 
| Last Update Date | 2021-05-14 |