| NPI | 1407976327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B GORIN Owner 502-797-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22001261A) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-20 |