| NPI | 1659501807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE E. SMITH Sole Member/Managing Member 941-769-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9201) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2015-06-16 |