| NPI | 1669732319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SORENSEN Owner 928-606-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6025) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |