| NPI | 1629332721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA TRAHAN Owner 337-540-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |