| NPI | 1124440003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L KOUKA President 317-460-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004115A) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |