| NPI | 1952712754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GARRETT DOUGLAS Owner/Director 323-960-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP#11478) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA SP#11478) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |