NPI | 1992853113 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA JANEAN YOUNG Owner 951-303-9422 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP4814) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2008-07-30 |