| NPI | 1912365644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARENA MITCHELL Speech Language Pathologist 913-754-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2770) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |