| NPI | 1497511877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MULLEK Speech Language Pathologist 854-205-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-06-27 |