| NPI | 1316723018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHRISTINE WIKUM Owner/Speech Pathologist 920-857-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |