| NPI | 1801237490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA A CONWAY President/Owner 239-699-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6834) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |