| NPI | 1811561871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIA BREWER Speech Language Pathologist 405-420-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |