| NPI | 1891235222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HARRISON Speech Pathologist 619-846-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17872) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |