| NPI | 1942144753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL RIVES Speech Language Pathologist 951-254-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-14 |
| Last Update Date | 2026-04-14 |