| NPI | 1174070585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHEALANI WING Member/Owner 480-703-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8910) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |