| NPI | 1063734333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRESTA LEIGH WILSON Owner/Speech Language Pathologist 859-806-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 3201) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2020-09-24 |