| NPI | 1932995560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY SOON CHANG Speech Language Pathologist 561-608-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |