| NPI | 1679909675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL COLEEN KEEHNE Administrator 661-295-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA sp 19778) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |