| NPI | 1740988419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BRUDER Owner/Speech Language Pathologist 801-214-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-31 |