NPI | 1912572140 |
---|---|
Entity Type | Organization |
Authorized Contact | DAISY MEZA Administrator 951-223-5354 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2021-05-20 |
Last Update Date | 2023-07-20 |