| NPI | 1750099461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DONALDSON Speech Language Pathologist, Owner 623-252-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |