| 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 |