| NPI | 1235648239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY GRABERT Owner 225-229-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5751) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |