| NPI | 1740515527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA IDELSON Director 310-899-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 13902) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |