| NPI | 1942128624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY D COLLINS Speech Language Pathologist 619-459-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-07-27 |