| NPI | 1710500665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LASKEY WALLACE Owner / Speech Language Pathologist 561-282-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |