| NPI | 1356932552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA RICHARDSON Owner, Speech Language Pathologist 217-257-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |