| NPI | 1871352856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RUIZ Speech Language Pathologist 773-899-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |