| NPI | 1689321952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE YOKOM Speech Language Pathologist 307-699-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |