| NPI | 1861129462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE R BRINK Speech Language Pathologist/Owner 402-679-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |