| NPI | 1003304007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA EVANS Owner 347-423-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00799600) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-06-16 |