| NPI | 1427558394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY JANSEN Speech Language Pathologist, Owner 618-210-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001774) |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2023-01-11 |