NPI | 1942751508 |
---|---|
Entity Type | Organization |
Authorized Contact | DARITZA BOAN Speech Language Pathologist 305-458-0491 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12953) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |