| NPI | 1407991235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA MEDINA Managing Member 914-457-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 014400-1) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |