| NPI | 1881386985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN HAUGEN Speech Language Pathologist 619-203-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |