| NPI | 1538799598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANELLE BLUE AUGUSTINE Owner/ Speech Language Pathologist 225-999-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2022-07-05 |