| NPI | 1922501048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA LOPEZ President 347-886-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12728) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |