| NPI | 1134410061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LONGORIA Speech Language Pathologist 210-519-7834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 18804) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |