| NPI | 1013507045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY ROBIN STRIBLING-MOORE Speech Language Pathologist 254-749-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-01-23 |