| NPI | 1679892921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN GOSSETT Slp/Part Owner 510-909-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP15354) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |