| NPI | 1356769046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTEN NICHOLE GONZALEZ President 786-553-9584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12523) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-01-11 |