| NPI | 1760212500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COOPER Speech Language Pathologist 408-256-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |