| NPI | 1679390231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL BRAXTON Owner/Speech Language Pathologist 567-249-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |