| NPI | 1730771734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M JOHNSON Speech Language Pathologist 916-896-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |