| NPI | 1629775671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEILA GUTIERREZ Owner/Speech Language Pathologist 520-303-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-01-02 |