| NPI | 1992402051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI BARNES Owner 806-215-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-07-30 |