| NPI | 1427706746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE GORING SHEALY Owner/Speech Language Pathologist 508-518-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-23 |