| NPI | 1568893733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKITA C GIBBS Owner 561-209-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008027) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |