| NPI | 1861986333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L MAGNUSON Owner 530-949-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP8630) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |