| NPI | 1962929992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JEAN DAWES Owner/Speech Language Pathologist 352-650-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 9959) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-03-17 |