| NPI | 1831609064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WEBER Owner 347-457-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |