| NPI | 1316644107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILENA BASANEZ RAMIREZ Owner 786-747-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-04-22 |