| NPI | 1083440267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN WIELAND Speech Language Pathologist/ Owner 847-997-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |