| NPI | 1396024204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA LAGO President/Owner 786-301-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10904) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |