| NPI | 1275981599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA GISELLE PAREDES President 917-622-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12058) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2018-05-31 |