| 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 |