| NPI | 1568792414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET WILLIAMS President 754-234-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9460) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 9460) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2012-08-01 |