| NPI | 1013589829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHA MUSTIN HEREK Speech Language Pathologist / Owner 757-304-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-12-21 |