| NPI | 1679164594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M DENIO Speech Language Pathologist 805-588-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |