NPI | 1063150910 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSE KATHARINE FAIRBAIRN Speech Language Pathologist/Founder 424-225-1481 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-21 |
Last Update Date | 2025-09-03 |