| NPI | 1922605898 |
|---|---|
| Former Legal Business Name | LITTLE ROSE SPEECH THERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | DIANA RIDOLOSO Owner 209-406-7619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |