| NPI | 1083219190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONEISHA T LEE Speech Language Pathologist 985-713-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-11-01 |