| NPI | 1699215368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHELINE Owner 520-334-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5361) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |