| NPI | 1700127198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA ANN DIXON Member/Owner 314-984-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 111841) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-06-05 |