| NPI | 1942913447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA JOHNSON Owner/Speech Language Pathologist 813-220-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |