| NPI | 1669824918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MILLAR Owner 707-502-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002403) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |