| NPI | 1386428902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELA D NIEVES PEREZ Speech Language Pathologist 689-247-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |