| NPI | 1962895532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JEAN BENES Director/Owner 909-390-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 16940) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |