| NPI | 1306435946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MARIE PETERSON Owner, Speech Language Pathologist 913-961-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2022-09-07 |