| NPI | 1700758034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIR LAVIAN Speech Language Pathologist 818-414-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |