| NPI | 1174260376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILAN BUTLER Owner/Speech Language Pathologist 980-228-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |