| NPI | 1912652264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA YAMADA Owner/Speech Language Pathologist 424-832-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |