| NPI | 1639690217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PEARL BAUMAN Owner/Sole Member 850-803-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14802) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2017-07-04 |