| NPI | 1861034308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATEVIK TIFFANY DARBINISN Speech Language Pathologist 818-572-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |