| NPI | 1083362321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE NICOLE ALVARADO Speech Language Pathologist 915-820-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-20 |