| NPI | 1417228131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA R MARTIN-STANFORD Sole Proprietor 816-373-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 116968) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |