| NPI | 1669779484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE WORP Owner/ President 909-390-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8001) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2013-06-28 |