| NPI | 1861250730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA AGOSTO Owner 551-804-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |