| NPI | 1326801002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY BONIFAS Owner, Speech Language Pathologist 419-302-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |