| NPI | 1780031575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA FORBES Owner 917-426-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0222731) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2016-05-21 |