| 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 |