| NPI | 1912451733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COLLIER Owner 863-414-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2933) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |