| NPI | 1881920148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE CZECH Director Of Administration 415-476-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 17827) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |