| NPI | 1720667504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MILLS Speech Language Pathologist 574-261-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |