| NPI | 1629921994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI L WAILES Owner/Speech Language Pathologist 225-614-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-02-17 |