| NPI | 1407437908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL WILSEN Owner, Speech Language Pathologist 845-701-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |