| NPI | 1073154084 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAKISHA DAWKINS Owner/Speech Language Pathologist 321-229-3706  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2019-10-01 | 
| Last Update Date | 2019-10-01 |