| NPI | 1073755310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA YVONNE BOONE Speech Pathologist 314-739-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2009003429) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |