| NPI | 1083358329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI KAYE MOORE Owner/Speech Language Pathologist 731-793-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-09-18 |