NPI | 1871865675 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE MONTY BOWMAN Director 714-282-8852 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP6398) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2017-01-20 |