| NPI | 1851180335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE WILSON Speech Language Pathologist 725-221-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-06-18 |