| NPI | 1568178002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WILLIAMS Speech Language Pathologist 386-688-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |