| NPI | 1013644319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANI MARIE Speech Language Pathologist 646-633-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |