NPI | 1982110201 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA ILEANA PENA Owner, Speech Language Pathologist 305-301-4870 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13217) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2021-08-12 |