| NPI | 1114881638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BREANNE WILSON Owner / Provider 602-663-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |