| NPI | 1699421602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA DE COSTA COOPER Speech Pathologist/President 510-862-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-05-04 |