| NPI | 1972127249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA R MAKKER Speech Language Pathologist/Owner 209-605-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |