| NPI | 1780366336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENIKA SANDY Owner/Speech Language Pathologist 475-257-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |