NPI | 1669704177 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN DAVID-NICOLAS Owner And Clinical Director 650-357-0571 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 1A41040) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1084557) |
235Z00000X Speech-Language Pathologist (Licence: CA SP11976) | |
Enumeration Date | 2010-02-08 |
Last Update Date | 2013-07-03 |