| NPI | 1851187215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CID Speech Language Pathologist 405-413-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |