| NPI | 1881438968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN WANG Speech Language Pathologist 818-634-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |