| NPI | 1134640329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMA GRACE SHAY Sole Mbr 907-395-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 530) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |