| NPI | 1124401864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY BOSHART Owner 281-660-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4410) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-04-16 |