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 |