| NPI | 1689185175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M AMIS Speech Language Pathologist 314-502-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014025039) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |