| NPI | 1679355945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE QUINTERO Owner 865-224-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-12-13 |