| NPI | 1588278758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GUSTAFSON Owner/Speech Language Pathologist 321-231-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-02-11 |