| NPI | 1053586685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE MOREE GRAY Owner 225-921-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4906) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2010-02-17 |