| NPI | 1265153761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MAIN Administrator, Owner 480-573-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-04-13 |