| NPI | 1972977213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WILHELM Director 310-876-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP13700) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |