| NPI | 1720371990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON KONG Owner 415-469-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP10617) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |