| NPI | 1851163299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALISE WOOD Speech Language Pathologist 949-422-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-01-14 |