| NPI | 1790152221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA VERVILLES EMERINE Sole Member 270-307-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY Ky-1268) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |