| NPI | 1912619859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA RUVINOVA Speech Language Pathologist 347-530-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-01-30 |