| NPI | 1053062232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA VALDIVIA Speech Language Pathologist 954-643-9782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-02-03 |