| NPI | 1104637768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SCHNEIDER Speech Language Pathologist/Owner 385-277-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |