NPI | 1366019721 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM WRONKIEWICZ Owner/Speech Language Pathologist 573-578-4954 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-10-21 |