| NPI | 1518289024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ROUCO Speech Language Pathologist 786-431-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6196) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |