| NPI | 1720723463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE ERICKSON Owner; Speech Language Pathologist 801-759-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-05-06 |