| NPI | 1710260179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA C MOORE Owner 949-857-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3260) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |