NPI | 1770718462 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MARIE BOOTH Speech Language Pathologist/Owner 954-319-7609 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8417) |
Enumeration Date | 2009-05-25 |
Last Update Date | 2009-07-14 |