NPI | 1093915043 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSE NOVEMBER Owner 561-270-2280 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7605) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2007-07-18 |
Last Update Date | 2023-11-07 |