| NPI | 1598533226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE WALLIS Owner/Pediatric Feeding Specialist 636-748-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-02-18 |