| NPI | 1851635866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TERRADO Speech Language Pathologist 619-955-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 4105) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-10-05 |