| NPI | 1770249740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL BERRY Speech Language Pathologist 937-307-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2022-05-09 |