| NPI | 1730454992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIA MCCULLOUGH Owner 323-691-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17498) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |