| NPI | 1154553360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RENFRO Speech Language Pathologist 907-317-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 207) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |