| NPI | 1588007652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RACHEL GROSSMAN Co Owner 954-420-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9748) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT1955) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA7678) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA4869) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA10302) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |