NPI | 1336626316 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA WACKER Owner, Slp, And Learning Specialist 773-720-0646 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011197) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2021-11-12 |