| NPI | 1457978371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA DOMINGUES Speech Language Pathologist/Owner 732-585-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |