| NPI | 1891048211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MYERS President 262-721-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3118-154) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |