| NPI | 1134251911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE TRAINOR Owner 772-971-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4701) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |