| NPI | 1396369369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA ROBERTS Speech Language Pathologist 307-299-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-23 |