| NPI | 1134903164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA E MOLINARO Speech Language Pathologist 346-347-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-09-27 |