| NPI | 1013362870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY E MULLINS President 407-328-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7616) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |