| NPI | 1346039302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA R CORPORON Owner/Speech Language Pathologist 618-696-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |