| NPI | 1225894660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDIE ARISTILDE Speech Language Pathologist/Owner 917-803-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |