| NPI | 1922865955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEGROOT Speech Language Pathologist 949-903-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |