| NPI | 1912418021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ELIZABETH ADAY Speech Language Pathologist 602-377-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4772) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-17 |