| NPI | 1376472688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRNALISA ROMINE Speech Language Pathologist 386-346-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-05-14 |