| NPI | 1972001741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA WILKE Owner 402-659-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0002576) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |