| NPI | 1174310502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI GATES LIEBE Speech Language Pathologist 407-496-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |