| NPI | 1982374013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA WYATT Speech Language Pathologist 918-931-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |