| 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 |