| NPI | 1689019861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JEANNE HOLLAND Owner/Provider 260-515-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005031A) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |