| NPI | 1396483624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY HOLIDA Speech Language Pathologist 605-254-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |