| NPI | 1013592815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE PENA Owner/Speech Language Pathologist 786-925-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2022-04-19 |