| NPI | 1972676732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L GOULD Officer 561-833-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA174) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |