| NPI | 1669790887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE KREITZMAN Owner 818-705-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 4063) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 25692) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2014-04-02 |