| NPI | 1669529871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI ANN WILMS Director/Speech/Language Pathologis 909-792-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP10010) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT6314) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-04-25 |