NPI | 1871930347 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA BAGLEY Owner 985-234-0491 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4736) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2013-05-23 |