| NPI | 1891203402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BOIARDT Owner 305-215-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11066) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |