NPI | 1972050839 |
---|---|
Entity Type | Organization |
Authorized Contact | RAQUEL FUENTES-ZAPATA Owner 727-804-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SA11672) |
171W00000X Contractor | |
225A00000X Music Therapist | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2025-09-29 |