| NPI | 1275237919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM ANGELIQUE VILLAPUDUA Speech Language Pathologist 520-238-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |