| NPI | 1811715931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE COOPER Speech Language Pathologist/Owner 760-220-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |